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The different body functions are interfered with; the urine is retained, bloating occurs, respirations are slow, pulse weak and temperature subnormal or normal. Preventive treatment, such as feeding a spare diet during the latter period of pregnancy, is not always advisable.
Tolberg has an example of hymen integrum after the birth of a fetus five months old, and there is recorded a case of tubal pregnancy in which the hymen was intact. Gilbert gives an account of a case of pregnancy in an unmarried woman, who successfully resisted an attempt at criminal connection and yet became impregnated and gave birth to a perfectly formed female child.
Indeed, so general was the joy that, among those who could do no more, there could scarcely be found a father or mother in France who, before they took their wine, did not first offer up a prayer for the prosperous pregnancy of their beloved Queen.
An Italian, Bossi, in 1907, used adrenal gland curatively. More recently, a British student of the subject, Blair Bell, was given the direction of the treatment, at long range, of a number of cases in India, the land of chronic pregnancy with insufficient food, and consequent oversecretion of the ovaries, with the typical softening of the bones. At his suggestion pituitary was used successfully.
The womb is rarely heavy enough during the first half of pregnancy to interfere with the flow of blood through these vessels, but in the last few months such interference is very common. Generally the limbs are equally affected, yet occasionally the swelling is more marked on one side or the other. The characteristic changes begin in the feet.
Under some circumstances, especially with a deformed pelvis, if pregnancy were allowed to proceed normally it probably would result in the death of the mother. Then, it is considered justifiable for the physician in charge of the case to produce an abortion in order to save the life of the mother. Those cases are rare and such a procedure never is undertaken except in extreme cases.
In case the infection occurs at the time of service, the abortion usually takes place during the first half of the period of pregnancy. Cows that become pregnant without recovering from the inflammation of the lining membrane of the genital tract, may abort at a very early period.
It is highly probable that, in accordance with the classical experiments of Dareste on chicken embryos, shocks and disturbances to the human embryo may also produce injurious effects on growth. The disturbance due to coitus in the early stages of pregnancy may thus tend to produce malformation.
Careful examination showed this to be a case of intramural twin pregnancy at the point of entrance of the tube and the uterus, while at the abdominal end of the same tube there was another ovum, the whole being an example of triple unilateral ectopic gestation.
To be on the safe side a prospective mother who has previously had a miscarriage should not travel at any time during pregnancy; others are not obliged to follow this stringent rule except during the first sixteen and the last four weeks of pregnancy. In the former period there is some danger of miscarriage because traveling may cause separation of the relatively loose attachment of the ovum.
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